CAJ | 학술논문

目的：探讨腹腔镜右半结肠切除术治疗结肠癌的临床效果、安全性及有效性。方法选取右半结肠癌患者100例，按单纯随机抽样方法分为腹腔镜右半结肠切除术组（观察组）和开腹手术治疗组（对照组），各组50例。比较两组临床治疗效果和并发症。结果两组患者均成功施行手术。观察组术中出血量、术后排气时间、住院时间、术后并发症发生率分别为（75±42） mL、（24．8±1．3） h、（7．5±2．0） d、4．0％，均明显优于对照组的（100±50）mL、（64．9±1．8）h、（12．1±3．4）d、10．0％（χ2＝5．02、9．28、11．70，9．87，均P＜0.05）。结论腹腔镜右半结肠切除术治疗结肠癌的临床效果显著，近期疗效好，安全有效，利于患者术后康复，远期疗效与开腹组相当，值得临床大力推广。
목적：탐토복강경우반결장절제술치료결장암적림상효과、안전성급유효성。방법선취우반결장암환자100례，안단순수궤추양방법분위복강경우반결장절제술조（관찰조）화개복수술치료조（대조조），각조50례。비교량조림상치료효과화병발증。결과량조환자균성공시행수술。관찰조술중출혈량、술후배기시간、주원시간、술후병발증발생솔분별위（75±42） mL、（24．8±1．3） h、（7．5±2．0） d、4．0％，균명현우우대조조적（100±50）mL、（64．9±1．8）h、（12．1±3．4）d、10．0％（χ2＝5．02、9．28、11．70，9．87，균P＜0.05）。결론복강경우반결장절제술치료결장암적림상효과현저，근기료효호，안전유효，리우환자술후강복，원기료효여개복조상당，치득림상대력추엄。
Objective To evlauate the clinical feasibility and efficacy of laparoscopic right hemicolectomy in the treatment of colon carcinoma .Methods 100 patients with rightcolon carcinoma were divided into 2 groups,50 ca-ses in each group .The control group received open surgery ,and the observation group was treated by laparoscopic right hemicolectomy .The clinical effect and side effect of the two groups were compared .Results The patients of the two groups were all successfully operated .The intraoperative blood loss ,postoperative anal exhaust time ,postoperative hos-pital stay,incidence rate of postoperative complications in the observation group were (75 ±42)mL,(24.8 ±1.3)h, (7.5 ±2.0)d,4.0%,respectively,which were significantly better than those of the control group [(100 ±50)mL, (64.9 ±1.8)h,(12.1 ±3.4)d,10.0%](χ2 =5.02,9.28,11.70,9.87,all P<0.05);Conclusion The laparo-scopic right hemicolectomy in the treatment of rightcolon carcinoma is safe and feasible ,and the curative efficacy is outstanding .It can obviously improve the prognosis of patients ,which should be popularized and applied in clinical .